REPUBLIC OF THE PHILIPPINES)

Municipality.

AFFIDAVIT OF CONSENT
I, __________________, Filipino, of legal age, and residents of ______________________________,
after having been duly sworn in accordance with law, hereby depose and say:

1.) That I am the father of___________________, who is applying for a Student Driver's Permit
at the Land Transportation Office (LTO);

2.) That I am giving my full consent to my said child in his application for a Student Driver's Permit;

3.) That there is no criminal case pending in court against his nor has he been charged of
subversion, rebellion or insurrection in any court of the Philippines;

4.) That I am executing this affidavit to declare the truth of the foregoing facts as to my undertaking
to give consent to my child's application for Student Driver's Permit.

IN WITNESS WHEREOF, I have signed this affidavit this _____________in Quezon City, Philippines.

 __________________

 Affiant

Valid ID: _________________

 SUBSCRIBED AND SWORN TO BEFORE ME, this _____________, affiant exhibiting to me his valid
identification card, as competent proof of his identity.

Doc. No. ___;

Page No. ___;

Book No. ___;

Series of 2018.